Overview
- The course covers the anatomy of the cranial bones, focusing on the ethmoid, sphenoid, and temporal bones.
- These bones are essential for forming the skull base, orbit walls, nasal cavity, and neurovascular structures.
- Key ideas include their localization, parts, relationships, and features relevant for clinical and surgical contexts.
- The review follows the chronological order from ethmoid to temporal bones, detailing their anatomical components.
Core Concepts & Key Elements
Ethmoid Bone
- Localization: Unpaired, anterior skull base; joins frontal, nasal, sphenoid bones.
- Forms: Anterior skull base, medial walls of orbits, superior nasal septum, superior lateral nasal cavity wall.
- Anatomical parts:
- Cribriform plate: Horizontal; contains olfactory foramina for CN I; divided by crista galli.
- Perpendicular plate: Vertical; forms nasal septum; divided by cribriform plate.
- Lateral masses (ethmoidal labyrinth): Contain 3-18 air cells (ethmoidal sinuses); attached to orbit (medial wall) and nasal cavity (lateral wall).
- Conchae: Scroll-shaped projections (superior, middle); elevate air filtration and warming.
- Meatuses: Inferior to each concha; pathway for mucous membrane.
- Lamina papyracea: Thin, forms part of medial orbit wall.
Sphenoid Bone
- Localization: Central skull base; joins frontal, ethmoid, occipital, temporal, and parietal bones.
- Parts:
- Body: Cuboidal, contains sphenoidal sinuses; features the sella turcica (hypophyseal fossa) for pituitary.
- Surface features:
- Superior: Jugum sphenoidale, chiasmatic groove, tuberculum sellae, dorsum sellae, posterior clinoid processes.
- Anterior: Forms part of nasal vault; contains anterior sphenoidial crest and sphenoidal sinuses openings.
- Inferior: Continues with basilar occipital; landmarks include sphenoid rostrum.
- Lateral surfaces:
- Lesser wings: Triangular; form optic canals; articulate with frontal bone superiorly.
- Greater wings: Form temporal surface, infratemporal fossa, and orbital surface; contain foramina rotundum, ovale, spinousum.
- Pterygoid processes: Medial and lateral plates; pterygoid notch; form pterygoid fossa; attachment for pterygoid muscles.
- Key features:
- Optic canal: Between lesser and greater wings.
- Sphenoid spine and foramen lacerum.
Temporal Bone
- Localization: Lateral skull base, sides of skull, near temporal lobes.
- Functions: Protects hearing structures, balance organs, neurovascular elements including internal carotid, facial nerve.
- Main parts:
- Squama: Largest, convex, attachment for temporalis muscle; contains parietal notch and groove for posterior deep temporal artery.
- Zygomatic process: Articulates with zygomatic bone.
- Temporal fossa: Inferior surface with mandibular fossa, articular eminence, petrotympanic fissure, tympanomastoid fissure.
- Mastoid process: Contains mastoid cells; attachment for neck muscles; groove for sigmoid sinus; mastoid foramen.
- Petrous part: Houses inner ear; in pyramidal shape; contains internal acoustic meatus, jugular fossa, carotid canal, styloid process, and various foramina.
- Styloid process: Ligament and muscle attachment; exit for stylomastoid foramen.
High-Yield Facts
- Olfactory foramina: Pass CN I through cribriform plate.
- Perpendicular plate: Contributes to nasal septum.
- Sphenoidal sinuses: Located within sphenoid body.
- Optic canal: Between lesser and greater wings.
- Foramen rotundum: Maxillary nerve (V2).
- Foramen ovale: Mandibular nerve (V3).
- Foramen spinosum: Middle meningeal artery.
- Pterygoid notch: Between medial and lateral pterygoid plates.
- Mastoid air cells: Communicate with middle ear.
- Carotid canal: Entry point for internal carotid artery.
- Stylomastoid foramen: Facial nerve exit.
- Temporal bone ossification: Endochondral.
Summary Table
| Concept | Key Points | Notes |
|---|
| Ethmoid bone | Unpaired, anterior, forms nasal septum, orbit wall | Contains cribriform plate, labyrinth, conchae |
| Sphenoid bone | Central base, contains sella turcica, sinus, processes | Connects all skull bones, houses optical canal |
| Temporal bone | Lateral skull, protects hearing/balance organs | Consists of squama, mastoid, petrous parts |
Mini-Schema
Cranial Bones
├─ Ethmoid Bone
│ └─ Cribriform plate, perpendicular plate, labyrinth, conchae
├─ Sphenoid Bone
│ └─ Body, wings, processes, sella turcica
└─ Temporal Bone
├─ Squama: attachment for temporalis
├─ Mastoid: air cells, mastoid foramen
└─ Petrous: inner ear, internal structures
Rapid-Review Bullets
- Ethmoid unpaired bone at skull base, medial orbit, nasal septum.
- Cribriform plate transmits CN I.
- Perpendicular plate forms nasal septum.
- Ethmoidal labyrinth contains 3-18 ethmoidal cells.
- Sphenoid connects all skull bones; contains sella turcica for pituitary.
- Sphenoid body has sphenoidal sinuses.
- Greater wings form part of temporal fossa; contain foramen rotundum, ovale, spinosum.
- Lesser wings form optic canals.
- Pterygoid processes shape pterygoid fossa; attachment for muscles.
- Temporal bone protects hearing and balance organs.
- Squama has temporal line; attachment for temporalis.
- Mastoid process contains air cells; groove for sigmoid sinus.
- Petrous part houses cochlea and vestibular apparatus.
- Foramina of temporal bone: stylomastoid (facial nerve), jugular, carotid, foramen ovale.
- Occipital and sphenoid bones form the pyramidal base of the skull.